Posts Tagged ‘Department of Justice’
Abbott Laboratories’ Alere to Pay $160M to Settle FCA Claims
What once was one of the country’s largest Medicare mail-order diabetic testing suppliers and its parent company have agreed to pay $160 million to resolve allegations they violated the False Claims Act. The case was brought under the qui tam, or whistleblower provisions of the False Claims Act by Gregory Goodman against Arriva Medical LLC,…
Read MoreNew Corporate Compliance Guidance Issued by DOJ
If you had any doubt that the U.S. Department of Justice had plans to back off its crackdown on healthcare fraud under then new Trump administration, all you need to do is look at its recently released guidance on corporate compliance to understand that it will continue to keep the pressure on. Titled Evaluation of…
Read MoreFeds weigh in on competitive benefits of telemedicine
As telemedicine continues to grow in use and popularity, federal agencies are increasingly being asked to consider how it will affect competition in the healthcare arena. Recently, the Department of Justice offered its backing of a telemedicine bill winding its way through Michigan. Although the DOJ’s statement, in support of SB 753, was issued in…
Read MoreGenetic testing latest scam targeting Tricare
The Tricare program is once again the target of fraudulent claims. The health insurance program for members of the U.S. military, their family and retired military, has been bilked millions of dollars for unnecessary genetic tests and drug screening, according to media reports. The latest alleged Tricare scam goes something like this: Labs set up…
Read MoreHow whistleblowers are helping to fight healthcare fraud
Earlier this month, the Department of Justice announced it had resolved a $237 million judgment against Toumey Healthcare System in South Carolina for violations of the Stark Law. In this particular case, the hospital was alleged to have entered into contracts with 19 specialists that required them to refer their outpatient procedures to the hospital…
Read MoreHealthcare executives on notice, DOJ cracking down on individuals for corporate misconduct
The federal government has taken a tough stance on healthcare fraud for many years. For the most part, companies caught up in the net have responded by paying huge fines and promising not to engage in fraudulent activities again. Despite the billions of dollars paid out, corporate fraud persists. Now, the feds are turning up…
Read MoreMedicare Part D fraud fastest growing component of program
When the Department of Justice earlier this month announced the arrest of 243 people for Medicare fraud, it noted that 50 of the defendants were charged with crimes related to the Medicare prescription drug benefit program known as Part D. Prescription drug fraud has become the fastest-growing component of the Medicare program overall, and is…
Read MoreLatest Medicare fraud sting should serve as wake-up call
This week’s takedown by the Medicare Fraud Strike Force of 243 people nationwide should serve as a wake-up call to everyone in the medical profession. The arrests, according to federal officials, were due in large part to the government’s increasing use of sophisticated computer programs designed to detect patterns of potential fraud – which in…
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